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NPI Code Detail

MEDICARE: MICHELE WILLIAMS MD

MEDICARE:   MICHELE  WILLIAMS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician45766MN

Other Identifiers

General Provider Information

NPI Number : 1356326359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE WILLIAMS MD
Provider Business Mailing Address
First Line : 19704 O CIR
Second Line :
City : OMAHA
State : NE
Zip : 68135-3672
Country : US
Telephone Number : 402-203-7123
Fax Number :
Provider Business Practice Location Address
First Line : 8303 DODGE ST
Second Line :
City : OMAHA
State : NE
Zip : 68114-4108
Country : US
Telephone Number : 402-354-4424
Fax Number : 402-354-4435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 10/15/2019

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Directions to “ MICHELE WILLIAMS MD” Practice Location

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